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Piiratud tõendusUuringuid on vähe või tulemused on vastuolulised
Gut–brain axis• 15 min• 12 November 2025

Gut microbiome and the vagus nerve: the biochemistry of your second brain

Dr Sergey Saadi

The gut and brain do not just communicate through hormones – they are connected by a powerful two-way neural highway, the vagus nerve. Short-chain fatty acids (SCFAs) made by the microbiome are the chemical language of that conversation, regulating satiety, mood and systemic glucose control.

SCFAs – the language of the microbiome

When your gut bacteria ferment dietary fiber they produce short-chain fatty acids: butyrate, propionate and acetate. These are not metabolic leftovers – they are signalling molecules that bind the FFAR2/FFAR3 receptors on enteroendocrine cells and send messages to the brain via vagal afferent fibers (Koh et al., Cell 2016).

  • Butyrate – feeds colonocytes, strengthens the gut barrier (tight junctions), lowers inflammation via HDAC inhibition
  • Propionate – suppresses hepatic de novo gluconeogenesis, stabilizes blood sugar, stimulates satiety hormones (GLP-1, PYY)
  • Acetate – enters the systemic circulation, affects appetite in the hypothalamus and supports peripheral metabolism

The vagus as a fast lane to the brain

About 80% of vagal fibers are afferent – they send signals from the gut upwards, not the other way around. SCFAs, gut hormones (GLP-1, PYY, CCK) and even microbial metabolites (e.g. indole-3-propionate) modulate vagal tone and through it systemic inflammation, the satiety response and parasympathetic recovery (Bonaz et al., Front Neurosci 2018).

The wide-ranging review by Cryan and colleagues (Physiol Rev 2019) maps the mechanisms of the gut-brain axis: beyond the neural route, microbial neurotransmitters (GABA, serotonin precursors), immunological signals and blood-brain-barrier-crossing metabolites all play a role. The gut documentably affects anxiety, mood and cognitive regulation.

"Microbiome diversity is also a trainer of the vagus nerve – the richer it is, the stronger the vagal tone."

What weakens this axis

  • Excess refined carbs and stabilizers (CMC, polysorbate-80 emulsifiers – Chassaing et al., Nature 2015)
  • Chronic psychological stress and sleep debt
  • Unnecessary antibiotic use (microbiome effects last months to years)
  • Too little dietary fiber: < 25 g/day (Sonnenburg & Sonnenburg, Cell Metab 2014)
  • Chronic alcohol consumption – damages the gut barrier

Practical microbiome & vagus protocol

  • 30+ different plant foods per week (American Gut Project – McDonald et al., mSystems 2018 – this is the strongest predictor of diversity)
  • Fermented foods daily (kefir, sauerkraut, kimchi, kombucha) – Wastyk et al., Cell 2021 showed reduced inflammatory markers in a 10-week trial
  • Polyphenols: berries, olive oil, green tea, dark chocolate ≥ 85%
  • Slow resonant breathing 5 min in the morning (raises vagal tone)
  • Contrast shower or cold-water face immersion (mammalian dive reflex, parasympathetic activation)
  • Regular moderate exercise – raises microbiome diversity (Allen et al., MSSE 2018)
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Scientific references

Doctor's appointments

Dr Sergey Saadi sees patients at Synage Clinic

Appointment times and services are listed on the clinic's website. The clinic is a separate company from the Academy.

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